Labs/Startups/Ateliers (LSA) Application Form
LSA Name
*
Name of Applicant
*
First Name
Last Name
Title of Applicant
*
Email of Applicant
*
example@example.com
School, Department, or Organization of Applicant
*
Name(s) of Co-Applicant(s)
Title(s) of Co-Applicant(s)
Email address(es) of Co-Applicant(s)
School, Department, or Organization(s) of Co-Applicant(s)
Please indicate your CRE2 Affiliate Status:
Graduate Student Affiliate
Faculty Affiliate
Postdoctoral Affiliate
Resident or Trainee Affiliate
Is this a CRE2-initiated LSA?
Yes
No
If yes, list CRE2 theme(s) relevant to LSA.
Is this a scholar-initiated LSA?
Yes
No
Proposal
Please enter the Proposal. Include the following information: the description of the goals of the LSA, anticipated activities and outcomes.
*
0/400
Please enter the proposed budget for anticipated activities. You are not required to fill in all ten categories, but must include at least one.
*
Rows
Budget Category
Amount (in dollars)
1
2
3
4
5
6
7
8
9
10
Please provide a narrative description of the budget outlined above. Be as specific as possible on the expenses you expect to incur in conjunction with your proposed project. All expenses should be reasonable, realistic and directly related to the activities that will be conducted as part of the project. (300 words or less).
*
0/300
What is the TOTAL amount of funding you are requesting?
Please include description of human subjects (if applicable).
Please upload current CVs for all investigators here.
*
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